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<br /> <br />813- ~80-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813,780-0021 <br /> <br />-:s -- <br /> <br />, <br />{ { <br /> <br />Owner's Address I-~ .'-.\~ ~,;'K\L\>IT~~ \\( <br /> <br />Fee Simple Titleholder NamJ <br /> <br />1$ \ \ ~I~--:\"S <br /> <br />\ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />CJ ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br /> <br />BUILDING <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />I'~-r~s ~\~\LJ'n~ '=:\\0-\'-0 I LOT# ~ <br />PARCEL 10# 13'--\ -<0~ ~ \ -'CX:10 ~-o -c:::6)~~ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />~. NEWCONSTR ~ADD/AlT <br />~ INSTALL t=l REPAIR <br />o SFR D COMM <br />D BLo~,D FRAME <br />1\ () \l- \ ~ - . \ ~~ \\\ <br />I SQ FOOTAGE I ~l~ <br /> <br />DEMOLISH <br /> <br />CJ <br />o <br />CJ <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER IC\\. '1"'(\.~0~\'\\ <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />c==J VY.R.E.C. <br /> <br />NOC ~ <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER C <br />SIGNATURE <br /> <br /> <br />~ ' <br />-) ~~ COMPANY~ "\ ~~~ t '2' <:0j;~~ <br /> <br />/ ~... REGISTERED Y I N ~ FEE CURRENT I Y ~ <br /> <br />Add'", c'~' \(\N{ .~\b:'.\,--~~fc\ <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # ~~~L~.~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />'~0Lo <br />I <br /> <br />FEE CURRENT Y I N <br /> <br />Y I N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT Y I N <br /> <br />Y I N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y I N FEE CURRENT <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y I N FEE CURRENT <br /> <br />License # <br /> <br />1""""""'11111'11111"1"""11111111111111111111'1'1"111111"'111111111111'1"1111111111'1111111111111""11111"1'11"'1111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />,1.,111111111111111",1.11111111"11,1,1"",,,,111,.1,.,,11111111111111111111,1111111111,1111,1111111111111111111111111.,,1,111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Driveways Fences (PlotJSurvey/Footage) <br />